RONAK NAIK M.D.
NPI 1467688044
Pediatrics - Pediatric Cardiology in Memphis, TN

NPI Status: Active since June 09, 2009

Contact Information

848 ADAMS AVE
L400
MEMPHIS, TN
ZIP 38103
Phone: (901) 287-7337

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  • Individual
  • Male
  • Years of Experience 25
  • Pediatrics
  • Pediatric Cardiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About RONAK NAIK

This page provides the complete NPI Profile along with additional information for Ronak Naik, a pediatrician established in Memphis, Tennessee with a medical specialization in Pediatrics, focusing in pediatric cardiology and more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1467688044 assigned on June 2009. The practitioner's primary taxonomy code is 2080P0202X with license number 49082 (TN). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1467688044
Provider Name
RONAK NAIK M.D.
Gender
Male
Entity Type
Individual
Location Address
848 ADAMS AVE L400 MEMPHIS, TN 38103
Location Phone
(901) 287-7337
Mailing Address
850 POPLAR AVE. BLDG. 2 MEMPHIS, TN 38105
Medical School Name
OTHER
Graduation Year
2001
Is Sole Proprietor?
No
Enumeration Date
06-09-2009
Last Update Date
06-30-2018
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A pediatrician like Ronak Naik is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Cardiology

Taxonomy Code
2080P0202X
Type
Allopathic & Osteopathic Physicians
License No.
49082
License State
TN
Taxonomy Description
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B07E HSA - EPO
  • BlueCross B07S HSA - EPO
  • BlueCross B15E $0 virtual care from Teladoc Health � - EPO
  • BlueCross B15S $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental - EPO
  • BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
  • BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
  • BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
  • Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 7500 Indiv Med Deductible - EPO
  • Connect Bronze 8500 Indiv Med Deductible - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Silver 2875 Indiv Med Deductible - EPO
  • Connect Silver 3825 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO
  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Secure - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple PCP Saver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Ronak Naik is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Ronak Naik is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8527211549

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20121226000238

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for RONAK NAIK M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467688044
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241271281608
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 2 + 8 + 1 + 6 + 0 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1467688044 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619977964MS. TRACY J TIDWELL APRN,FNP
Individual
Nurse Practitioner (Family)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1962402305DR. JAMPANA RAJU MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1871593897DR. JAMES A ODONNELL MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1083728331MS. ASHLEY M PIPER NP
Individual
Nurse Practitioner (Pediatrics)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1942287610MS. DAVONNA S LEDET RN NP
Individual
Nurse Practitioner (Family)848 ADAMS AVE NEUROSCIENCE CLINIC - LOBBY LEVEL
MEMPHIS, TN 38103
(901) 287-5060
1659372613DR. JOHN K ESHUN MD
Individual
Pediatrics (Pediatric Gastroenterology)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-5235
1386064913MRS. LINDSAY HAND BURGESS NNP-BC
Individual
Nurse Practitioner (Neonatal)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-4800
1144508854 PREET KIRAN SANDHU MD
Individual
Radiology (Diagnostic Radiology)848 ADAMS AVE RADIOLOGY G216
MEMPHIS, TN 38103
(901) 287-6938
1760482434PEDIATRIC EMERGENCY SPECIALISTS, PC
Organization
Emergency Medicine (Pediatric Emergency Medicine)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1942461983DR. LAPRECIOUS LIBERTY NADARAH HARROLD MD
Individual
Pediatrics848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-7337
1891893020 MICHAEL A REBOLLEDO M.D.
Individual
Pediatrics (Pediatric Cardiology)848 ADAMS AVE L400
MEMPHIS, TN 38103
(901) 287-7337
1528429180MRS. CATHERINE PARKER APN, NNP-BC
Individual
Nurse Practitioner (Neonatal, Critical Care)848 ADAMS AVE NICU, 4TH FLOOR
MEMPHIS, TN 38103
(901) 287-8400
1437159126DR. BARRY G GILMORE MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1881694255DR. MARY P MCGINTY MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1528068962DR. JOSEPH V POLLACK MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1649270919DR. AMY L HERTZ MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1962402982DR. TIMOTHY J OCONNOR MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1760830061 MICHELLE RICKARD APN
Individual
Nurse Practitioner (Pediatrics)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-7337
1982870119DR. JASON NATHANIEL JOHNSON M.D.
Individual
Pediatrics848 ADAMS AVE L400
MEMPHIS, TN 38103
(919) 684-8111
1831423607DR. MARIANNA RIVAS-COPPOLA M.D
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)848 ADAMS AVE SUITE L400
MEMPHIS, TN 38103
(901) 287-7337

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467688044, enumerated in the NPI registry as an "individual" on June 09, 2009

The provider is located at 848 Adams Ave L400 Memphis, Tn 38103 and the phone number is (901) 287-7337

The provider's speciality is Pediatrics with taxonomy code 2080P0202X with a focus in Pediatric Cardiology

The provider has more than 25 years of experience.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on June 09, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.